催产素联合COOK双球囊对羊水偏少足月妊娠结局的影响  

Effect of oxytocin combined with COOK double balloon on the outcome of term pregnancy with oligohydramnios

作　　者：刘云霞 李萍 甄银芝 胡晓丽 扈学艳 Liu Yunxia;Li Ping;Zhen Yinzhi;Hu Xiaoli;Hu Xueyan(Department of Obstetrics and Gynecology,Affiliated Hospital of the NCO School of Military Medical University,Shijiazhuang 050000,China)

机构地区：[1]陆军军医大学士官学校附属医院,河北石家庄050000

出　　处：《遵义医科大学学报》2023年第10期969-973,共5页Journal of Zunyi Medical University

基　　金：河北省卫健委医学科学研究项目(NO:20221905)。

摘　　要：目的探讨羊水偏少足月妊娠结局与催产素联合COOK双球囊干预的关系。方法回顾性选取2020年2月—2023年2月本院羊水偏少足月产妇134例,依据干预方法分为催产素联合COOK双球囊干预组(联合干预组)、催产素单独干预组(单独干预组)两组,各67例,统计分析两组宫颈成熟度、临床疗效、分娩方式、产程时间、诱发临产时间、产后出血量、新生儿出生体质量、新生儿Apgar评分、妊娠不良结局发生情况。结果干预后,联合干预组产妇的宫口开大程度、宫颈管消退程度、胎先露位置、宫颈硬度、宫口位置评分及宫颈Bishop总分均高于单独干预组(P<0.05)。联合干预产妇的促宫颈成熟总有效率97.01%(65/67)高于单独干预组74.63%(50/67,χ^(2)=13.799,P<0.05)。联合干预组产妇的自然分娩率高于单独干预组,剖宫产率低于单独干预组(χ^(2)=26.872,P<0.05),第一产程短于单独干预组(t=13.104,P<0.05),总产程短于单独干预组(t=13.527,P<0.05)。联合干预组产妇的诱发临产时间短于单独干预组(t=20.578,P<0.05),产后出血量少于单独干预组(t=2.771,P<0.05)。联合干预组产妇的妊娠不良结局发生率20.90%(14/67)低于单独干预组的40.30%(27/67,χ^(2)=5.939,P<0.05)。结论与催产素单独干预相比,催产素联合COOK双球囊干预更能有效改善羊水偏少足月妊娠结局。Objective To investigate the effect of oxytocin combined with COOK double balloon intervention on the outcome of term pregnancy with oligohydramnios.Methods 134 cases of full-term women with oligohydramnios in our hospital from February 2020 to February 2023 were retrospectively analyzed.According to the intervention methods,they were divided into oxytocin combined with COOK double balloon intervention group(combined intervention group)and oxytocin alone intervention group(single intervention group),67 cases in each group.The cervical maturity,clinical efficacy,mode of delivery,labor time,induced labor time,postpartum hemorrhage,neonatal birth weight,neonatal Apgar scores,poor pregnancy ending incidence of the two groups were statistically analyzed.Results After intervention,the degree of cervix dilatation,cervical canal regression,fetal presentation position,cervical hardness,cervix position scores and total cervical Bishop score in the combined intervention group were higher than those in the single intervention group(P<0.05).The total effective rate of cervical ripening in the combined intervention group was 97.01%(65/67),higher than that in the single intervention group of 74.63%(50/67,χ^(2)=13.799,P<0.05).The combined intervention group had a higher rate of natural childbirth,a lower rate of cesarean section than the single intervention group(χ^(2)=26.872,P<0.05),and a shorter first stage of labor than the single intervention group(t=13.104,P<0.05).The total duration of labor was shorter than that in the single intervention group(t=13.527,P<0.05).The induction time of labor in the combined intervention group was shorter than that in the single intervention group(t=20.578,P<0.05),and the amount of postpartum hemorrhage was less than that in the single intervention group(t=2.771,P<0.05).The incidence of adverse pregnancy outcomes in the combined intervention group was 20.90%(14/67),lower than that in the single intervention group 40.30%(27/67,χ^(2)=5.939,P<0.05).Conclusion Compared with oxytocin interventio

关 键 词：羊水偏少 足月 催产素 COOK双球囊 妊娠结局 

分 类 号：R717[医药卫生—妇产科学]